Massachusetts pest control service report template

Set up for Massachusetts

• On completing each indoor application, the contracting entity (and, on request, building residents and occupants) receives the pest control company's name and phone number, the applicator's name and license number, the target pests, the names and EPA registration numbers of the products applied, and the date and approximate time333 CMR 13.08 (1) (g)
• The information given after the application includes the applicator's name and license number333 CMR 13.08 (1) (g) 2.
• The information given after the application includes the date and approximate time333 CMR 13.08 (1) (g) 5.
• Operational records also give the amount of liability insurance carried and the name of the insurer333 CMR 10.14 (1) (j)

Also required in Massachusetts

These rules are about how and when you report, not the template's fields. Check them before you deliver.

• Operational records of each application give the place and date, the brand or registered name and EPA registration number, the amount applied, the purpose, the method, and the certified or licensed persons who took part in planning and carrying it out, plus any accidents causing pollution and any reported illnesses or injuries333 CMR 10.14 (1)
• Records are kept at least three years and made promptly available to the Department; significant accidents, incidents, injuries or illnesses are reported to the Department immediately and never later than 48 hours after they come to the applicator's attention333 CMR 10.14 (2), (4)
• Indoor applicators avoid treating rooms with people present, inform anyone occupying a room of the procedure, tell the contracting entity every post-application label requirement, and give written pre-notification (company, date, locations, products, EPA numbers, active ingredients) between seven days and 48 hours ahead to anyone who asks333 CMR 13.08 (1) (a), (d), (e)
• When the contracting entity does not live in the unit, all residents get written pre-notification between seven days and 48 hours before treatment with the company, date and time, locations, products, EPA numbers, active ingredients, purpose, label preparation steps and the Consumer Information Bulletin, and approved notices are posted at entrances to treated common areas unless the contracting entity signs the Department's opt-out form (kept three years); non-residential public buildings get posted notices too333 CMR 13.08 (3), (4)
• A resident who contracts for treatment of their own unit receives the Department-approved Consumer Information Bulletin before agreeing to the work; building managers and landlords receive the Information Bulletin for Building Managers and Landlords; termite customers receive the Consumer Information Bulletin on Termite Applications before the contract333 CMR 13.08 (2), (3) (a), (4) (a); 13.05 (4)
• Rodenticides in generally accessible indoor areas go in tamper-resistant stations secured against removal, and each station is labeled with the company's name and phone, the application date, the product name and EPA number, and the active ingredients333 CMR 13.08 (1) (c), (f)
• Subsurface termiticide work is done by applicators certified in Category 43 or under their direct supervision; termiticide is not injected beneath slabs until heating ducts, water and sewer lines and conduits are located, and foundations with holes or cracks are protected against infiltration first333 CMR 13.05

What is in it

• Products appliedProduct, EPA Reg. No., Active ingredient, Amount, Dilution or rate, Method, Where applied
• Pest activity and conditions: insidePest activity seen inside, Sanitation and food or water sources, Leaks and moisture, Clutter and harborage
• Pest activity and conditions: outsidePest activity seen outside, Entry points: gaps, door sweeps, vents and utility openings, Vegetation, mulch and firewood against the structure, Drainage, gutters and standing water
• Monitoring and bait devicesRodent bait stations (secured and tamper-resistant), Traps and glue boards, Insect monitors, Termite monitoring stations
• Service performedWhat was inspected and treated, and how: areas serviced, devices checked, replaced or added, and any exclusion work done.
• Precautions given to the customerWhat the customer was told to do or avoid after the treatment, such as keeping people and pets off treated areas until dry.
• Next stepsThe next service, any callback, and what the customer agreed to do.

Rules last reviewed October 14, 2026. Read the full Massachusetts pest control service report requirements.